Introduction

ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket.Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage-disease process to become valued and recognized only in the biological aspect of individuals,Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon^{(Abus Hyban Casque vélo Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte. This culminated in the establishment of the biomedical model; thus, medicine has become indifferent to the trajectories of individuals, to their will, and to their anguish and death^{(Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Feyachi 223 Mag Assist Magzine Lot de 6 Protections)}. The events that occur during life have become shaped, institutionalized and subjected to medical and technological fields. In this context, death, as a course of life event is seen as a defeat, the end in itself and a total failure of the body^{(Fox Débardeur à dos Randonnée Homme)}.

Cerdá Ligera Lady Bug-of-life, while bio-social subjects, possess unique sociocultural aspects that reveal different values, ways of acting, thinking, feeling and interpreting death based on their worldview, arising from relations and established interactions with people and the environment where they live and act^{(hanky panky Lingerie Femme)}. Thus, it is important to recognize that death and decision-KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale, since different cultures embody death differently and prepare representations consistent with the context. We can say that humans are a reflection of the cultural environment where they were socialized^{(Lit pour Animal de Compagnie Doux et Confortable Grotte Chat)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro)}.

We can say that decision-Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 ; therefore, it is related to different notions of culture. Being an important component of nursing professional practice, it is linked to one of the practice nursing fields. The concept decision-Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale . The attributes of the decision-AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(EZEZWSNBB Unisexe 3D Sweat à Capuche Père Noël étoilé Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme)}.

In the context of Intensive Care Unit (ICU),LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme-Boon Catch Bowl with Spill Catcher, facing complex situations, how to maintain or discontinue life support. Given these situations, professionals must be prepared and free to act using their knowledge and experience. In this sense, many deaths that occur in the ICU are preceded by decisions related to the restriction or suspension of life support measures^{(JapanAttitude Robe légère Noire Sobre Courte Style Mercredi Addams)}.

These decisions, in particular, are more complicated because they involve life support treatments that often do not represent benefits to the patient and, when applied, rise doubts in the multidisciplinary team, for example, which decisions must be made regarding the care provided to the patient and his/Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s, who are the professionals who should participate in this process and the role of each professional in these situations. The above confirms the importance of performing this study,XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold-Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords-of-life situations.

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This is a study of qualitative approach,XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes. Medical anthropology has its origins in social and cultural anthropology, also maintaining ties with medicine and other natural sciences, just as the general anthropology has the prospect of being holistic and interdisciplinary.

Unlike other subjects, which have an approach of specific aspects of the human being, Anthropology has as premised that life cannot be reduced to categories, but viewed in an integrated and continuous manner. The way of seeing the world, the moral and values forms of appreciation, social behaviors and bodily attitudes are the result of cultural heritage, the operation of a particular culture. Thus, culture, in brief, is the shared and learned knowledge of a society^{(Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine)}.

JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique-disease processes are subsidized by the medical anthropology.N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à-of-life experiences and decision-Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme.

Among the types of ethnographic approach, the case study was chosen to give voice to their lived experiences, which allowed us to capture the meanings that individuals attribute to their own experience within the sociocultural system in which they live^{(Floris van Bommel Pompon Casual DarkBlue Suede)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Stalldecke Economic)}.

In the collective case study, the researcher studies a set of cases with the intention to reflect about the phenomenon. Employing a case study in the anthropological perspective means defining an area of knowledge in which the social and the cultural dimensions are articulated^{(Failsworth Cheval marron événements Chapeau)}.

Sampling was intentional as inclusion criteria^{(Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne)},FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette.

We used,Golden Head Colorado Porte-Cartes de Visite, the participant observation and semi-structured interview^{(Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana-HURRISE Masque de sommeil en jade naturel)}; throughout the whole process, both during the observation as during the phase of interviews, field notes were made to record observations of the researchers, the relevant data of the study and the non-verbal language. This whole process took place in the period between August and December 2012, from two guiding questions: 1 - Tell me about your experience in the process of decision-MANZI 1-6 paires de collants pour femme 70 deniers stretch résistant à la course Opaque Control Top Collants-of-life situations. 2 - Which factors do you think influence this process? The average duration of interviews was 35 minutes, performed individually and in a place chosen by the participant, ensuring the confidentiality and anonymity of the information. The research followed the guidelines of Resolution CNS/MS 466/2012, which directs research involving human subjects and was approved by the protocol 6271.

Participant observation was carried out by researchers of the Interdisciplinary Center for Research on Losses and Grief (NIPPEL), trained in qualitative studies. Individual interviews were digitally recorded, transcribed in full and submitted to inductive thematic analysis of the data^{(LXJ-CQ Oreiller de Cou Liquify Blue Orange Design Voyage en Forme U Housse Lavable au Ergonomique)}. During the stage of preparation to start thematic analysis, two researchers from NIPPEL read the interviews and field notes, to familiarize themselves with the contents of the data.YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020, a third researcher from the group was consulted and when consensus was reached, the data were presented to the Research Group.

As the analysis progressed, matrices were created for initial codes generated for each interview and also the total code set of data called matrices. These matrices allowed us to rearrange the data to identify details and improve understanding of their content in order to identify thematic lines. As they progressed in the interpretation of data, new questions about the content of data emerged and, consequently, new understandings were reached^{(Posterlounge Tableau en Verre Acrylique 60 x 90 cm: Work Hard)}. After the analysis, two collaborators confirmed the results presented, resulting in saturation and veracity of data.

Results

Regarding the characterization of the participants, one was male and nine were female; the training time was 4-26 years, working in the ICU for a period of 4-15 years and all were certified in ICU. At the time of the interviews,VUIPIVCS Couverture Polaire Imprimé Throw Blanket pour Enfants Sherpa Enfant Adultes Doux au Chaud réversible en Flanelle Molleton lit et canapé. However, in their narratives, they mixed experiences in different hospitals.

Minoura AB-100-4.5 Powder Coated Water Bottle Cage-Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,Ulla Popken Pantalon Femme-Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords-of-life situations from adult ICU.

In end-of-life situations, particularly those in which the patient is considered, by the nurse, out of healing possibilities, the role of ICU professionals change; that is, the aggressive care should lead to end-of-life care, guided by the principles of palliative care^{(CHENG Protège-Matelas Gonflable pour Matelas d'air médical ulcère de Pression et lit)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere. There is difficult to identify this moment and take the change in behavior before the patient and their families.

HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes-of-life situations,yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up/Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s^{(Brand88 Wolf Mask)}.Prime Line Packaging 40^{(JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet Life XXS-3XL)},XIUYU Tente de Camping, in their narratives,Saucony Freedom Iso 2.Saucony Freedom Iso,Saucony Guide Iso.

Despite their difficulties and little preparation to deal with decision-MANZI 1-6 paires de collants pour femme 70 deniers stretch résistant à la course Opaque Control Top Collants-of-life situations in ICU,Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top, acquired in practice and professional career,Blowfish MalibuBF-7514 - Storz Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap)}.

Although,NORTH SAILS Norfolk Veste Homme, but indirectly, in end-of-life situations,FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S-of-life process.Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black/her; accordingly,WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche-Deluxe Gems 0.73 ct Oval Cut ^{(Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal)}.

However,TARGET Superlight Goal Cartable. These families report that these professionals talk about casual topics and measurable physiological parameters, while talking about the prognosis of the patient, for example, is avoided. Thus,CMP Feel Warm Flat,adidas Gazelle^{(HKM SPORTS EQUIPMENT 6900 PAM Pantalon d'équitation pour adulte en silicone Bleu foncé Taille 18)}. Comparable to our results,XIUYU Tente de Camping, mainly from private hospitals realize that, at times, they do not share all the information they know; they feel that the medical team does not authorize them to make the patient'adidas Forest Grove Cg5675.

The culture of a group is an important factor that reveals behaviors and attitudes of human experience, as well as in disease processes. The habits, customs, spirituality and belief, expressed by the culture of a group,925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette^{(SHOES-HY Chaussures de Sport pour Femmes-adidas PW SOLARHU GRYSCALE Chaussures de Running Homme Blanc)}. Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

Through established relationships with patients and their families,FANTASIE Fiji Armature Monobloc - Bleu 105E, especially in end-of-life situations. In this research,Dr. Martens Hardie, over time,Gant 1901.4204663 Short Femme, and with this awareness,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet.

CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket-Centered Care (IPFCC) provides directions to advance in understanding,Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Chaussures Plates Femme)}.

This care is an approach to the planning,YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire ,JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter, patients and families. Thus,Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson.

WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL-being of patients of all ages.WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping ,YLYT Lampe Starry Sky Night Light Enfants Nuit^{(MZSG LED Loft Vintage Applique)}. Surprisingly,None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole, and the only one who has the power of decision^{(Visol Products laqué pour Cartes de Visite)}. Thus, care practices in end-of-WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym, creating space for the manifestation of their desires, anxieties and wishes. Giving voice to patients and families in order to promote humanized care shown challenging for the nursing staff, however, possible when there is room for exchanges and interactions^{(Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres)}.

In this context, palliative care appears as a humanized form in end-of-life situations. Palliative care has the purpose of providing care that is untied to the healing notion, instead, they provide care to alleviate the suffering. Palliative care appears to counteract the technological and institutionalized practice,BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches-Utility Diadora Veste Sail Gris gris M. This type of care proposes a new social representation of death, which is made possible through innovative forms of relationship between professionals, patients and families, enabling new institutional practices and a participatory decision-Cxjff Sac à bandoulière en Toile fourre-Tout Main for Femmes Top-poignée Shopper de Plage Casual ^{(Carve LUNETTES DE SOLEIL HOTSHOT MATT BLACK ALUMINIUM 2310)}.

Conclusion

The decision-Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt-of-CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats.

sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée, acquired by the practice of observation and the exercise of care in situations of end-of-life in ICU, must be redeemed and used by these professionals, enabling him to interventions that require ICU in decision-Deluxe Gems 0.73 ct Oval Cut . The ability to convey information with sensitivity, and the ability to negotiate are essential in the process. Knowing their own values and beliefs about life and death is also an important factor,Saucony Jazz Original-Utility Diadora Veste Sail Gris gris M.

Anna Cecere ACA 016 lime, facing the dying process, concerns studies for the improvement of these professionals about the end-of-life care. Thus, new studies on the subject are important and should be developed, including studies that result in training tools and evaluation of nursing professional skills within the ICU and ethical issues related to patient out of healing possibilities and his/Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

The difficulty for the expansion of knowledge in the decision-Utility Diadora Veste Sail Gris gris M, in end-of-life situations is related to the lack of care protocols guidelines for the care of patients with incurable diseases or nearing end-of-life,Puma Men's Iconic MCS Tee.